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by David C. Brousseau, M.D., M.S. - Medical College of Wisconsin; Associate Professor of Pediatrics, Division of Emergency Medicine, Milwaukee, WI and Marc H. Gorelick, M.D., M.S.C.E., F.A.A.P., F.A.C.E.P. - Medical College of Wisconsin; Professor of Pediatrics and Population Health; Jon E. Vice Chair, Emergency Medicine, Children's Hospital of Wisconsin, Milwaukee, WI.
Learning Objectives
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Pediatric Emergency Medicine: A Review and Update
March 9-13, 2009
Location: Hyatt Regency Sarasota, Florida
OBJECTIVES
| OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.
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| SPECIFIC OBJECTIVES
| | Day 1 | Acute Asthma in Children: An Update on Management. - Upon completion of this session, the participant should be able to:
| 1. | Summarize recent information regarding inhaled bronchodilator therapy for acute asthma.
| | 2. | Recognize the role of systemic and inhaled corticosteroids in the management of acute asthma exacerbations.
| | 3. | Discuss the appropriate use of additional therapies including magnesium sulfate and heliox.
| | 4. | Describe the important considerations for ventilator management for severe acute asthma.
| | Management of the Critically Ill Neonate. - Upon completion of this session, the participant should be able to:
| | 1. | Recognize the signs of distress in a neonate.
| | 2. | Discuss the differential diagnosis of the critically ill neonate.
| | 3. | Design a treatment plan for the initial stabilization of a critically ill neonate.
| | Bronchiolitis and Croup. - Upon completion of this session, the participant should be able to:
| | 1. | Recognize the clinical presentation of infants with bronchiolitis.
| | 2. | Synthesize the latest evidence regarding bronchodilator and corticosteroid therapy for bronchiolitis.
| | 3. | Manage children with mild, moderate, and severe croup.
| | Pediatric Endocrine Emergencies: Diabetic Ketoacidosis. - Upon completion of this session, the participant should be able to:
| | 1. | Describe the presenting signs and symptoms of diabetic ketoacidosis.
| | 2. | Select appropriate initial therapy for the child with diabetic ketoacidosis.
| | 3. | Identify those children with diabetic ketoacidosis that may be candidates for outpatient management.
| | 4. | Contrast the presentation of Type 1 and Type 2 Diabetes in children.
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| | Day 2 | Seizures and the Seizing Child - Upon completion of this session, the participant should be able to:
| 1. | Explain the evaluation and management of a febrile seizure.
| | 2. | Explain the evaluation and management of a first time afebrile seizure.
| | 3. | Describe the common etiologies of pediatric status epilepticus.
| | 4. | Select appropriate treatment for the child who presents with status epilepticus.
| | Fever in the Infant and Toddler. - Upon completion of this session, the participant should be able to:
| | 1. | Develop a differential diagnosis for infants and toddlers presenting with fever.
| | 2. | Recognize and manage the most common causes of fever in different age groups.
| | 3. | Identify appropriate diagnostic and treatment strategies for children with fever in different age groups (0-4 weeks, 4-8 weeks, 2 months - 2 years).
| | 4. | Determine what patients to treat and discharge, treat and observe, and treat for admission.
| | Wound Care. - Upon completion of this session, the participant should be able to:
| | 1. | Differentiate treatment plans for wound repair based on the size and depth of a laceration.
| | 2. | Identify those wounds requiring antibiotic prophylaxis.
| | 3. | Outline the approach and treatment for children at risk for rabies or tetanus.
| | Evaluation and Management of Dehydration in Children. - Upon completion of this session, the participant should be able to:
| | 1. | Apply clinical findings to accurately assess dehydration in children.
| | 2. | Recognize the role of laboratory testing in suspected dehydration.
| | 3. | Manage mildly to moderately dehydrated children with oral rehydration therapy.
| | 4. | Describe the indications for and the initial approach to intravenous fluid therapy.
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| | Day 3 | Management of Burns in Children. - Upon completion of this session, the participant should be able to:
| 1. | Treat minor burns in children on an outpatient basis.
| | 2. | Apply principles of supportive care for patients with major burns, including treatment of smoke inhalation and fluid management.
| | 3. | Recognize indications for referral for inpatient or specialty care in pediatric burn patients.
| | Hematologic Emergencies: Updates on Sickle Cell Disease and ITP. - Upon completion of this session, the participant should be able to:
| | 1. | Contrast the clinical presentations of sickle cell complications.
| | 2. | Evaluate and manage the febrile child with sickle cell disease.
| | 3. | Discuss the clinical signs and laboratory evaluation of Idiopathic Thrombocytopenic Purpura (ITP).
| | 4. | Describe treatment options for children with ITP.
| | Abdominal Emergencies in Children. - Upon completion of this session, the participant should be able to:
| | 1. | Formulate a differential diagnosis for the child with abdominal pain.
| | 2. | Identify common and life-threatening causes of abdominal pain in children.
| | 3. | Compare different diagnostic imaging options for children with abdominal pain.
| | Interesting Cases: When a Long Day Becomes a Pain in the “Back”. - Upon completion of this session, the participant should be able to:
| | 1. | Identify the important clinical features of each of the conditions presented.
| | 2. | Generate a differential diagnosis for each described clinical presentation.
| | 3. | Develop an initial treatment plan for each clinical scenario.
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| | Day 4 | Evaluation and Management of Pediatric Head Trauma. - Upon completion of this session, the participant should be able to:
| 1. | Explain the initial approach to the child with a head injury.
| | 2. | Distinguish between those children at low and high risk for intracranial injury.
| | 3. | Identify an appropriate evaluation and treatment strategy for children with head injury of varying degrees of severity.
| | Evaluation of the Child with Altered Mental Status. - Upon completion of this session, the participant should be able to:
| | 1. | Formulate a differential diagnosis of altered mental status in children.
| | 2. | Recognize signs of cerebral herniation.
| | 3. | Provide initial stabilization measures for the child with altered mental status.
| | 4. | Employ a practical approach to evaluating the child with altered mental status.
| | Orthopedics in the Pediatric Patient. - Upon completion of this session, the participant should be able to:
| | 1. | Describe the anatomic differences between child and adult bones/joints.
| | 2. | Classify pediatric fractures involving the growth plate.
| | 3. | Identify fractures associated with abuse.
| | 4. | Treat common orthopedic injuries and know when to refer.
| | Acute Gynecologic Problems in Children and Adolescents. - Upon completion of this session, the participant should be able to:
| | 1. | Identify common gynecologic problems that present in childhood and adolescence.
| | 2. | Plan the evaluation and management of the adolescent with sexually transmitted infections.
| | 3. | Plan the evaluation and management of the adolescent with abnormal uterine bleeding.
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| | Day 5 | Pediatric Presentations of Cardiac Disease. - Upon completion of this session, the participant should be able to:
| 1. | Recognize common clinical scenarios indicating the presence of cardiac disease in children.
| | 2. | Review the pathophysiology of some common pediatric heart diseases.
| | Pediatric EKG Workshop. - Upon completion of this session, the participant should be able to:
| | 1. | Contrast normal adult and pediatric EKGs.
| | 2. | Identify important pediatric EKG abnormalities.
| | 3. | Describe the treatment plans for children with EKG abnormalities.
| | Evaluation of Suspected Physical Abuse in Children. - Upon completion of this session, the participant should be able to:
| | 1. | Recognize common presentations of non-accidental trauma.
| | 2. | Plan the evaluation of the child with suspected non-accidental trauma.
| | 3. | Apply the principles of correct documentation for forensic purposes.
| | Toxicology: Accidental and Intentional Ingestions. - Upon completion of this session, the participant should be able to:
| | 1. | Differentiate toxic and non-toxic ingestions.
| | 2. | Manage common pediatric accidental ingestions.
| | 3. | Describe the diagnosis and management of newer drugs being used by children.
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